Strengthening government management capacity to scale up HIV prevention programs through the use of Technical Support Units: lessons from Karnataka state, India.
Bottom Line: For example, between 2008 and 2010, the proportion of surveyed female sex workers in 9 districts reporting that they used a condom at last intercourse rose from 60% to 68%; in 6 districts, the proportion of surveyed men who have sex with men reporting that they used a condom at last anal sex increased from 89% to 97%.The Karnataka experience suggests that TSUs can help governments enhance managerial and technical resources and leverage funds more effectively.With careful management of the working and reporting relationships between the TSU and the state government, this additional capacity can pave the way for the government to improve and scale up programs and to absorb previously donor-funded programs.
Affiliation: Bill & Melinda Gates Foundation, Global Development Group, and University of Washington, Department of Global Health, Seattle, WA, USA. email@example.com.Show MeSH
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Mentions: TSUs are management units contracted by NACO and embedded within the SACS to provide technical and management support to the implementation of HIV prevention programs among key populations. Each TSU is comprised of experts from the private and nonprofit sector. The TSU is responsible for all technical aspects of the program, while administrative functions (procurement and finances) remain with government staff. The TSU ensures that national policies and strategies are implemented at the state level by working in close coordination with the SACS and providing capacity building and direct implementation support to intervention units. While the overall aim of the TSU is the same as that of the SACS—to support HIV prevention among key populations—it focuses on specific areas to ensure program scale and coverage and complements the skill set found within the SACS (Figure 2). It also ensures that program planning and implementation are evidence-driven and improves program accountability by strengthening monitoring and evaluation (M&E) systems.
Affiliation: Bill & Melinda Gates Foundation, Global Development Group, and University of Washington, Department of Global Health, Seattle, WA, USA. firstname.lastname@example.org.